Other degenerative diseases of nervous system, not elsewhere classified (G31)
The ICD-10 code section G31 covers a variety of other degenerative diseases of the nervous system not classified elsewhere. These codes are used for diagnosing less common or specific neurological disorders that involve progressive nerve damage and loss of brain function.
This section includes important conditions such as G31.0 frontotemporal dementia, and its specific forms like G31.01 Pick's disease, which is known for symptoms including behavioral changes and language difficulties. Pick's disease is also referred to by synonyms like "Progressive aphasia" or "Dementia due to Pick's disease," helping coders identify it precisely. G31.09 captures other frontotemporal neurocognitive disorders, including familial and genetic variants. The codes also cover degeneration due to alcohol (G31.2), neurocognitive disorder with Lewy bodies (G31.83), and mild cognitive impairment of unclear cause (G31.84). Rare hereditary disorders such as Leigh’s disease (G31.82) and Alexander disease (G31.86) are included as well. For unspecified or mixed presentations, G31.8 and G31.9 offer coding options. Using the appropriate ICD-10 code for degenerative nervous system disease ensures accurate diagnosis and treatment planning for these complex neurological conditions.
Diseases of the nervous system (G00–G99)
Other degenerative diseases of the nervous system (G30-G32)
G31 Other degenerative diseases of nervous system, not elsewhere classified
G31.0 Frontotemporal dementia
- G31.01 Pick's disease
- G31.09 Other frontotemporal neurocognitive disorder
- G31.1 Senile degeneration of brain, not elsewhere classified
- G31.2 Degeneration of nervous system due to alcohol
G31.8 Other specified degenerative diseases of nervous system
- G31.80 Leukodystrophy, unspecified
- G31.81 Alpers disease
- G31.82 Leigh's disease
- G31.83 Neurocognitive disorder with Lewy bodies
- G31.84 Mild cognitive impairment of uncertain or unknown etiology
- G31.85 Corticobasal degeneration
- G31.86 Alexander disease
- G31.89 Other specified degenerative diseases of nervous system
- G31.9 Degenerative disease of nervous system, unspecified
Other degenerative diseases of nervous system, not elsewhere classified (G31)
Instructional Notations
Use Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
- code, if applicable, for codes G31.0 G31.83 G31.85 G31.9
- dementia with anxiety F02.84 F02.A4 F02.B4 F02.C4
- dementia with behavioral disturbance F02.81 F02.A1 F02.B1 F02.C1
- dementia with mood disturbance F02.83 F02.A3 F02.B3 F02.C3
- dementia with psychotic disturbance F02.82 F02.A2 F02.B2 F02.C2
- dementia without behavioral disturbance F02.80 F02.A0 F02.B0 F02.C0
- mild neurocognitive disorder due to known physiological condition F06.7
Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- Reye's syndrome G93.7
Clinical Terms
The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.
Alexander Disease
Rare leukoencephalopathy with infantile-onset accumulation of Rosenthal fibers in the subpial, periventricular, and subependymal zones of the brain. Rosenthal fibers are GLIAL FIBRILLARY ACIDIC PROTEIN aggregates found in ASTROCYTES. Juvenile- and adult-onset types show progressive atrophy of the lower brainstem instead. De novo mutations in the GFAP gene are associated with the disease with propensity for paternal inheritance.
Corticobasal Degeneration
Rare progressive neurological disorder characterized by Parkinsonism, cortical atrophy of multiple areas of the brain including the cerebral cortex and the basal ganglia, cognitive dysfunction and eye movement abnormalities.
Frontotemporal Dementia
The most common clinical form of FRONTOTEMPORAL LOBAR DEGENERATION, this dementia presents with personality and behavioral changes often associated with disinhibition, apathy, and lack of insight.
Frontotemporal Lobar Degeneration
Heterogeneous group of neurodegenerative disorders characterized by frontal and temporal lobe atrophy associated with neuronal loss, gliosis, and dementia. Patients exhibit progressive changes in social, behavioral, and/or language function. Multiple subtypes or forms are recognized based on presence or absence of TAU PROTEIN inclusions. FTLD includes three clinical syndromes: FRONTOTEMPORAL DEMENTIA, semantic dementia, and PRIMARY PROGRESSIVE NONFLUENT APHASIA.